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INTRODUCTION

47, XXX karyotype: A chromosomal disorder in which there are three X chromosomes; it is associated with an increased risk of learning disabilities, delayed motor development, weak muscle tone, and behavioral problems, although these effects vary widely in affected individuals.

Administrative sex: The sex recorded in the patient demographic section of the electronic health record; it may differ from the sex assigned at birth and current gender identity.

Adverse childhood experiences (ACEs): Specific types of trauma experienced before age 18 years; includes abuse (physical, emotional, or sexual), neglect (physical or emotional), and household dysfunction (exposure to divorce; a member of the household with mental illness, a substance use disorder, or who is incarcerated; or witnessing violence in the home).

Anatomical inventory: A record of a patient’s current organs; in some cases, the anatomical inventory also records a patient’s body modifications.

Anorexia nervosa: An eating disorder characterized by restrictive eating patterns; weight loss (or lack of appropriate weight gain in children); difficulty maintaining a suitable body weight for height, age, and stature; and often a distorted body image.

Antiandrogen therapy: The use of medications that suppress the body’s production or response to testosterone and allow the effects of estrogen to be more apparent.

Anticipated stigma: Having an expectation of experiencing stigma.

Assigned female sex at birth/Assigned male sex at birth: Refers to the sex that is assigned to an infant, most often based on the infant’s visible anatomical (e.g., genital) and other biological characteristics. Commonly abbreviated as AFAB (assigned female at birth) or AMAB (assigned male at birth).

Avoidant/restrictive food intake disorder (ARFID): An eating disorder characterized by highly selective eating.

BDSM: An initialism that stands for bondage/discipline, dominance/submission, and sadism/masochism describing an array of erotic behaviors that center interpersonal power dynamics.

Binary: In contrast to the term “nonbinary,” this term describes a personal characteristic (or social structure or system) with only two possible options; could describe designations for sex (e.g., female or male), binary gender (e.g., girl/woman/feminine or boy/man/masculine), or sexual orientation (e.g., gay or straight).

Binge-eating disorder: An eating disorder characterized by eating large quantities of food (often quickly and to the point of physical discomfort); feeling a loss of control during the binge; experiencing shame, distress, or guilt afterward; and not regularly using compensatory measures to counter the binging.

Body image: An experience of physical self that affects self-concept, self-esteem, and one’s sense of autonomy in the world.

Bulimia: An eating disorder characterized by a cycle of binging and compensatory behaviors such as self-induced vomiting, laxative or diuretic use, or compulsive exercise that are designed to undo or compensate for the effects of binge eating.

Cisgender: A person whose gender identity aligns with society’s expectations based on ...

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